MEDICARE: BLUE LEAF MED SUPPLIES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1356070007
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLUE LEAF MED SUPPLIES INC

Provider Business Mailing Address
First Line	:	313 PALM AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-4715
Country	:	US
Telephone Number	:	786-470-9144
Fax Number	:

Provider Business Practice Location Address
First Line	:	313 PALM AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-4715
Country	:	US
Telephone Number	:	786-470-9144
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ANTONIO TAMAYO
Credential	:
Telephone Number	:	786-907-8122

Provider Enumeration Date	:	06/08/2022
Last Update Date	:	06/08/2022

Similar Medicare Providers

1649227596 — ELLE 1 SERVICE CORP.
Practice Location Address:

347 PALM AVE
HIALEAH, FL
33010-4715

Practice Phone: 786-439-3293
Practice Fax: 786-507-2959

1013115799 — MED CARE PHARMACEUTICALS INC
Practice Location Address:

347 PALM AVE
HIALEAH, FL
33010-4715

Practice Phone: 305-889-0817
Practice Fax: 305-889-1188

1235544305 — DNA PHARMACY INC
Practice Location Address:

347 PALM AVE
HIALEAH, FL
33010-4715

Practice Phone: 786-362-6263
Practice Fax: 786-362-6263

1326095456 — HUMANA CARE CENTER INC
Practice Location Address:

4715 NW 157TH ST , SUITE 107
HIALEAH, FL
33014-6435

Practice Phone: 305-628-2177
Practice Fax: 305-628-2178

1932120284 — PALMETTO GENERAL HEALTH CARE INC
Practice Location Address:

4715 NW 157TH ST , SUITE 124
HIALEAH, FL
33014-6435

Practice Phone: 305-628-0102
Practice Fax:

1245361518 — PALM LAKE MEDICAL CENTER INC
Practice Location Address:

4715 NW 157TH ST , SUITE 111-115
HIALEAH, FL
33014-6435

Practice Phone: 305-405-2939
Practice Fax:

Directions to “BLUE LEAF MED SUPPLIES INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.